Registered Nurse (RN) - Cardiac Catheterization Laboratory
Travis AFB, CA
Perm, Local Contract, or Travelers all welcome!
ERP International, LLC (www.erpinternational.com) is currently seeking Registered Nurses (RN) for a full-time position supporting the Heart Lung Vascular Clinic at David Grant Medical Center at Travis AFB, CA. Please apply online or contact us at (301) 490-0080 x 230 to learn more about this great opportunity!
Education: Minimum ASN.
License/Certification: Must hold an active, unrestricted RN license from any state; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS).
Experience: Minimum 2 years’ experience within the last 4 years, in similar specialty, including at least 1 year experience in a Cardiac Cath Lab, Critical Care Unit, or Step-Down critical care unit
Security: Must be a US Citizen and able to pass a government background check.
Monday-Friday, normal business hours 7:00am - 7:00pm (40 hours per week)
No Weekends or Holidays, unless on-call
Call Required: 1-2 weeks per month, average call-back is 4-8 hours per week
Job Specific Details and Tasks:
- Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients, families, physicians, coworkers and ancillary staff; and, maintain positive rapport with all individuals involved in patient care.
- Knowledge of a wide range of cardiac, pulmonary and vascular disorders and conditions as appropriate and seen in potentially critically ill patients (e.g., Acute Myocardial events, Chest pain, decrease in circulation to various areas of the body, and respiratory distress due to poor perfusion).
- Knowledge of basic requirements for proper documentation of patient care including medications given, nursing procedures, acknowledgement of teaching, and follow-up care.
- Knowledge of professional care theories, principles, practices, and procedures to perform nursing assignments of critically ill patients. Demonstrates knowledge of growth and development, and pathophysiology of disease processes specific to the critical care unit population to include all ages from adult to geriatrics.
- Assess patients' conditions for potential or life-threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). Plan appropriate nursing care. Notify physician if needed and carry out appropriate interventions as ordered.
- Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
- Coordinates patient care though a continuum and facilitates the achievement of optimal outcomes in relation to care, quality and cost effectiveness.
- Ability to react with alertness and skill in any emergency situation, (e.g., cardiac or respiratory arrest, hemorrhage, and shock).
- Reassess patient's condition and revise plan of care based on identified nursing problems.
- Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility, provides care within ethical and legal boundaries.
- Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
- Implement the Nursing process (assessment, planning, diagnosis, intervention and evaluation) to include holistic approach.
- Prepares and maintains the Heart Lung Vascular Clinic (HLVC) Catheterization Laboratory for all procedures.
- Establishes and utilizes a checklist to monitor the physical plan of the HLVC Catheterization Laboratory and equipment for conformity to all national standards for ensuring safety for the patient and all personnel.
- Assembles the type and quantity of material and special equipment needed for daily procedures and possible emergencies.
- Circulates for HLVC Catheterization Laboratory procedures.
- Effectively communicates and collaborates with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format in addressing professional issues.
- Obtain patient history, pertinent family history, and document in patient’s medical electronic medical record and clinic files.
- Utilize appropriate nursing personnel to assist in delivery of care when indicated (LPN's/paraprofessionals).
- Transcribe, verify transcription or confirms physician orders.
- Carry out prescribed physician orders and document in patient’s medical record.
- Communicate pertinent patient data to physician as appropriate.
- Assesses patients using the nursing process as a basis for professional practice.
- Demonstrates proper preparation of patients for treatments and procedures, to include interventions.
- Provides proper care and evaluation of post procedural patients.
- Possess knowledge of a variety of pharmacological agents used in treatment of critical care patients, the desired effects, side effects, complications and usual dosage of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.
- Administer prescribed medications to include multiple medication drips and intravenous push drugs (e.g., sedatives, narcotics, vasoactive medications, neuromuscular blockades, antidysrythmics, antihypertensives, thrombolytics, and emergency drugs). Administration consideration based on protocols, policy and recommendations by medical references.
- Assess and document patient response to medications administered and intervene if desired response is not achieved.
- Instruct patient/family regarding prescribed medications/therapies and invasive/diagnostic procedures that must be accomplished.
- Maintains open communication lines, both intra-departmentally and interdepartmentally, to provide for the total needs of the patient.
- Conducts preoperative and postoperative visits. Discusses Cardiac Catheterization and diagnostic cardiac testing procedures with patients and informs them of what to expect during procedures. Consults with the physician performing the procedure and establishes priorities of care for each patient. Coordinates with other hospital units, which include recovery room, intensive care, and nursing units, on patients’ progress and any special equipment or supplies that will be needed for the patient post procedure.
- Properly apply cardiac monitor leads and 12 lead EKG machine, analyze rhythm strips and notify Physician of any abnormal results (e.g., dysrhythmias for patient situation). Be able to interpret cardiac rhythms and their implications, intervene on emergent changes.
- Skilled in setting up, operating and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, ventilators, pacemakers, intra-aortic balloon pumps and other unit specific equipment.
- Demonstrate use and operation of defibrillator to include emergency defibrillator.
- Care for patients with a variety of hemodynamic monitors to include pressure lines/transducers, Swan-Ganz catheters, central venous lines/sheaths and arterial lines. Obtain hemodynamic parameters and interpret results. Notify physician of any parameters outside of expected results.
- Participate in Discharge Planning as appropriate.
- Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. Prepares all documentation to meet or exceed established standards of the MTF, to include, but not limited to, timeliness, accuracy, content and signature. Only MTF and Air Force-approved abbreviations shall be used for documentation of the patient health record.
- Must be knowledgeable of laboratory test values, interpret results. Notify physician of any parameters outside of expected results.
- Perform patient Postoperative recovery and discharge within established criteria.
- Participates and complies with quality and process improvement activities and events, including, but not limited to, post procedure follow ups, morbidity and mortality studies, and research studies to ensure compliance with national standards and guidelines.
- Serves and participates in committees, functions and other meetings as directed. Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service.
- Be able to initiate life saving measures in the absence of a physician.
- Document competence in managing patients enrolled in the Anti coagulant/Metabolic clinic, including, but not limited to, understanding the mechanism of action of prescribed medications, effectively educating patients/others involved in their care regarding reasons for therapy, dietary restrictions, interactions with other medications, side effects and possible life threatening events, assessing patients for compliance with therapeutic plan, effective titration of dose in accordance with maintaining therapeutic goal, and documentation of care given in the clinic in both the electronic medical record and clinic files.
- Demonstrate competence in the administration of blood products IAW MTF guidelines.
- Completes orientation and competency verification programs in accordance with (IAW) unit guidelines.
- Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.
- Schedules patients for evaluations, procedures, and treatments. Obtains medical records & procedure results.
- Greets patients, answers telephone and follow-ups on patient’s messages.
- Maintains & files general correspondence, reports, and records.
- Monitors all releases of patient information for compliance with HIPAA and other privacy laws.
- Will operate and enter data in Composite Health Care System (CHCS) and/or Armed Forces Health Longitudinal Technology Application (AHLTA) program.
- Performs triage of patients using only approved protocols.
- Forwards triage/advice documentation to appropriate provider for review and signature or co-signature .
About ERP International, LLC
ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 28 states. Founded in 2006, ERP is a Small Business headquartered in Laurel, MD. ERP maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide.
ERP's commitment and dedication to its customers was most recently reflected in an independent Dun and Bradstreet customer satisfaction rating in which ERP earned a customer satisfaction rating of 95 percent. Our exceptional customer rating ranks the company among the top five percent of all companies receiving the Dunn and Bradstreet rating. Washington Technology and Inc. Magazine have both ranked ERP among the fastest growing firms in the nation for 2014.
ERP offers exceptional benefits, including competitive compensation, Medical/Dental/Vision, short and long-term disability, life insurance, paid vacation, paid holidays, a matching 401(k), training and education opportunities, and semi-monthly direct deposit.